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The average age of the contestants is 34; they take a total of 45 different medications, making them both the sickest and the heaviest group of contestants to date.
Before they meet trainers Bob and Jillian, the contestants are told to do the first workout on their own in the gym.
As a result, each team has to pick one member to send home.
In another twist, Alison tells the contestants that even though nine of them are being sent home, if, after 30 days (approximately the fifth week of the competition), their teammate is still in the game on the ranch, the contestant that was sent home will return.
Meanwhile, the trainers are watching the contestants on closed-circuit television.
Bob and Jillian each chose one team to work with, and then each team in turn picks the next team to join them, except for the final unchosen team, Purple, which gets to make its own choice.
Depending on the season a team may work with a specific trainer or all trainers may work with all contestants.